Gauron, Michael R
Gauron, Michael R is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gauron, Michael R can be contacted via phone (702) 653-3962.Contact Information
Primary practice address
4700 Las Vegas Blvd N
Nellis Afb NV 89191-6600
Phone: (702) 653-3962
Fax: (725) 240-7736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A61928 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23273 | Nebraska |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | 15660 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15660 | Nevada |
Profile Details
| NPI number | 1992799514 |
|---|---|
| LBN Legal business name | Gauron, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Aug 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992799514 | NPPES |
| Nevada | MEDICAID | 1992799514 |
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